VUMC Content ManagerVUMC Content Manager

SponsorSponsorDr. Doris QuinnDr. Doris Quinn

AdvisorAdvisorDr. Andrew DozierDr. Andrew Dozier

The Role of the ACGME The Accreditation Council for Graduate Medical Education (ACGME) is a private professional organization responsible for the accreditation of nearly 7,800 residency education programs.

The Accreditation Process

To gain and maintain accreditation,

1- Institutional Accreditation

2- Program Accreditation

On average, each accredited residency program is site visited every 3.7 years.

Vanderbilt University Medical Center

Last Site Review Date: November 18, 2003

Next Site Review Date (approximate): April 1, 2009

Ownership or Control Type: Other Non-profit

Type of Institution: Teaching Hospital

Requirements:

Institutional Responsibilities

Institutional Responsibilities for Residents

Internal Review

Graduate Medical Education Committee Responsibilities Duty Hours

Evaluation

Institution Requirements

• Sponsoring Institution: Responsibility for the program

• Participating Institutions:

Faculty with specified responsibilities for teaching supervision and formal evaluation of residents.

The duration and the content of the educational experience

The policies and procedures governing the resident education

• Program Personnel and Resources

Qualified and Certified Program Director

Sufficient number of qualified faculty members to instruct and supervise

Specialized physicians

Additional staff members

Adequate resources and funding

Institution Requirements Continued..

• Eligible Residents

• Curriculum

• Resident Duty Hours (80 hours per week) and Environment

• Evaluation of the Residents

• Experimentation and Clinical Component (an average of 125 major operations per year)

• Certification

Thoracic SurgeryResidency Program

Original Accreditation Date: January 27, 1956Accreditation Status: Probationary AccreditationAccreditation Effective Date: January 16, 2004Accredited Program Length: 3 years

Last Site Review Date: April 15, 2003Next Site Review Date (approximate): January 1, 2005

Resident Education Program in Thoracic Surgery

• No moonlighting is allowed– (moonlighting: the circumstance of working as a

physician outside of one's authorized training program is called "moonlighting".)

• Duty hours: 80hours/week• Maximum continuous onsite duty: 24 consecutive hours

Out of the hospital and free: 1day/week (no beeper call, no in-house call)

• Maximum duty period: 30hours• Minimum rest period between duty period: 10hour• Each resident need to take the American Board of

Surgery In-Service Training Examination (ABSITE) in January.

• Evaluations

Ways Programs Have Ways Programs Have AdaptedAdapted

•Stretch ModelStretch Model

•Night-Float ModelNight-Float Model

•Apprentice ModelApprentice Model

•Mastery ModelMastery Model

Ways to Monitor Hours

•Electronic Evaluation System

•Weekly Progress Reports

Continuing Research

•Mentioned Last Time– New Innovations

•Offers the Residency Management Suite– Used in ¼ of all ACGME Programs

– Akcia Incorporated•Offers several specific programs

– Gives Institution ability to customize their software package

– Research of these products is still continuing along with some new products

New Software Products

•MedHub– A secure, encrypted web-based application

•Uses a stakeholder method, promotes communication

•Each stakeholder is able to manage their own data and the system validates the inputs

•Seems to have a very good scheduling system along with all the other requirement tracking elements (such as duty hours, evaluations, etc.)

•Emphasis Security on the Site

•Pride themselves on the System being rather intuitive

New Software Products

•VerinformRM– Also a Web-based system

•Does everything that is known to be needed

•Nothing to really distinguish it from the others, yet

•More research to be done, future plans include– Acquiring product demos and more specific

information (cost, hardware needed, etc… )